Background: Despite a global policy push toward the advancement of family- and community-based care, residential care for children and youth remains a relevant and highly utilized out-of-home care option in many countries, fulfilling functions of care and accommodation as well as education and treatment. Objective: As part of a larger project…

Thirty-two facilities for the elderly in Spain were compared with 55 such facilities in the United States through a Spanish translation of the Multiphasic Environmental Assessment Procedure of R. Moos and S. Lemke (1979). Implications of program findings for facility improvement and methodology for international evaluation are discussed. (SLD)